FDA Adverse Event
Injury
Summary report: N
ENDURITY¿ CORE DR, MRI (US)
MDR report key: 17086333
·
Received June 8, 2023
Report
- Report Number
- 2017865-2023-22625
- Event Type
- Injury
- Date Received
- June 8, 2023
- Date of Event
- May 22, 2023
- Report Date
- August 22, 2023
- Manufacturer
- ST. JUDE MEDICAL, INC.(CRM-SYLMAR)
- Product Code
- DXY
- PMA / PMN Number
- P880086
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- IN
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
FIELD EVENT OF CAPTURING PROBLEM WAS NOT CONFIRMED. THE DEVICE WAS AT END OF LIFE (EOS) LEVEL UPON RECEIPT. ANALYSIS OF DEVICE IMAGE INDICATED DEVICE WAS PROGRAMMED TO HIGH FIELD SETTINGS DURING IMPLANT PERIOD. FURTHER ANALYSIS PERFORMED DID NOT FIND ANY ANOMALY WITH BATTERY VOLTAGE END OF SERVICE (EOS) LEVEL. LONGEVITY ASSESSMENT WAS PERFORMED, AND IMPLANT DURATION EXCEEDS TOTAL PROJECTED LONGEVITY INDICATING NORMAL BATTERY DEPLETION.
Description of Event or Problem · 0
IT WAS REPORTED DURING IN CLINIC FOLLOW UP THAT THE PACEMAKER WAS EXHIBITING HIGH CAPTURE THRESHOLD. THE DEVICE WAS EXPLANTED AND SUCCESSFULLY REPLACED. THE PATIENT WAS STABLE AND ASYMPTOMATIC.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 268231 | ENDURITY¿ CORE DR, MRI (US) | IMPLANTABLE PACEMAKER PULSE GENERATOR | DXY | ST. JUDE MEDICAL, INC.(CRM-SYLMAR) | PM2140 | P000100864 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Unknown | Required Intervention |